Document Detail


Aseptic versus septic revision total knee arthroplasty: patient satisfaction, outcome and quality of life improvement.
MedLine Citation:
PMID:  19875297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We prospectively compared the clinical outcomes and patient satisfaction rates of aseptic (n=30) versus septic revision TKA (n=15) at a mean follow-up of 40 months. We hypothesized that the clinical results of septic revision TKA would be inferior to aseptic revision TKA. The indication for revision in aseptic group was stiffness in 11 patients, aseptic loosening in 13, patellar loosening or maltracking in 6 patients. Patients operated for infection had better post-operative Knee Society Scores (KSS), Function Scores and SF-36 Mental Scores than aseptic group but there were no significant differences in the satisfaction rates. Patients operated for infection had more improvement in their KSS (p=0.004) and Function Scores (p=0.02) than patients revised for stiffness. Moreover, patients operated on for patellar problems had higher satisfaction rates than patients revised for stiffness (p=0.01) or aseptic loosening (p=0.01). Thus, patients undergoing septic revision TKA had better outcomes compared to those with aseptic revision TKA. However, in the aseptic group, revision TKA for stiffness was associated with the poorest outcomes. The indication for aseptic revision is an important variable when discussing treatment and outcome with patients.
Authors:
Nilesh Patil; Kevin Lee; James I Huddleston; Alex H S Harris; Stuart B Goodman
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-10-28
Journal Detail:
Title:  The Knee     Volume:  17     ISSN:  1873-5800     ISO Abbreviation:  Knee     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  200-3     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, California, USA. drnileshpatil7@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee / adverse effects*,  methods,  rehabilitation*
Female
Humans
Joint Instability / surgery*
Male
Middle Aged
Patient Satisfaction*
Prospective Studies
Prosthesis Failure
Quality of Life
Range of Motion, Articular
Recovery of Function*
Reoperation / rehabilitation
Sepsis / etiology*,  rehabilitation,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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